How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $120.23 Median $134.90 Typical High $162.18 | Facility | None | $120.23 | $134.90 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $154.88 | Professional | None | $104.71 | $128.82 | $154.88 |
Ambetter Setting Professional Modifier None Typical Low $109.65 Median $162.18 Typical High $354.81 | Professional | None | $109.65 | $162.18 | $354.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $91.20 | Facility | None | $75.86 | $75.86 | $91.20 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $144.54 Median $190.55 Typical High $1,174.90 | Professional | None | $144.54 | $190.55 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $9,772.37 Typical High $11,220.18 | Facility | None | $2,238.72 | $9,772.37 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $251.19 | Professional | None | $120.23 | $144.54 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $158.49 Typical High $281.84 | Professional | None | $102.33 | $158.49 | $281.84 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $186.21 Typical High $331.13 | Professional | None | $93.33 | $186.21 | $331.13 |
Pacific Source Setting Facility Modifier None Typical Low $169.82 Median $229.09 Typical High $234.42 | Facility | None | $169.82 | $229.09 | $234.42 |
Premera BCBS Setting Facility Modifier None Typical Low $154.88 Median $162.18 Typical High $162.18 | Facility | None | $154.88 | $162.18 | $162.18 |
Premera BCBS Setting Professional Modifier None Typical Low $138.04 Median $154.88 Typical High $154.88 | Professional | None | $138.04 | $154.88 | $154.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $257.04 | Professional | None | $144.54 | $162.18 | $257.04 |
United Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $275.42 | Professional | None | $131.83 | $162.18 | $275.42 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $281.84 | Professional | None | $100.00 | $141.25 | $281.84 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $60.26 Typical High $67.61 | Professional | 52 · Reduced service | $53.70 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $17.78 Typical High $20.42 | Professional | 55 · Aftercare only | $16.22 | $17.78 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $12.02 Typical High $13.49 | Professional | 56 · Pre-op care only | $10.72 | $12.02 | $13.49 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $165.96 Median $186.21 Typical High $251.19 | Professional | 25 · Same-day visit | $165.96 | $186.21 | $251.19 |
Where Washington sits
The same service costs 2.7 times more in Alaska than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Washington· 14th of 51
$162
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.